带股深血管蒂股骨（膜）瓣移位的应用解剖

Applied anatomy of femoral osteoperiosteal flap pedicled with deep femoral vessels

在３０侧下肢标本上，解剖观测了股深动脉及其至股骨体中下部的分支分布。股深动脉发第一穿动脉之后，下行于股骨体内侧的大收肌和短收肌与长收肌之间。从发第一穿动脉处至股骨体中点，股深动脉干长１０．８±２．２ｃｍ。至股骨体中点水平时，股深动脉外径２．１±０．４ｍｍ。股骨体中点至其下方６ｃｍ范围的血供主要来自股深动脉末梢和第三穿动脉。根据解剖结果，设计了带股深血管蒂股骨（膜）瓣，修复股骨中上部骨不连或骨缺损。

n 30 adult cadaveric lower limbs the distribution of deep femoral artery to the femur wasobserved.After giving off the first perforating artery, the deep femoral artery desends along themedial aspect of femur.It is 10 8cm long from the commencement of the first perforating arteryto the mid- point of femur and 2.1mm in diameter at the middle point of femur. An area of the fe-mur from its mid- point to 6cm downwards is mainly supplied by the terminal branch and the thirdperforating artery of the deep femoral artery, which can be designed as a bone(osteoperiosteal )flap for repair of nonunion and defect of proximal part of fumor.